Healthcare Provider Details

I. General information

NPI: 1255753489
Provider Name (Legal Business Name): FOLAKE ALOBA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2014
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 HAMILTON ST STE 6
HYATTSVILLE MD
20782-3953
US

IV. Provider business mailing address

2607 BOX TREE DR
UPPER MARLBORO MD
20774-9306
US

V. Phone/Fax

Practice location:
  • Phone: 301-363-0707
  • Fax: 240-714-4733
Mailing address:
  • Phone: 120-236-1592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR189544
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: